2026-05-18T17:41:12+00:00 2025-06-30 135565207 KPMG LLP 1735 Market Street 6th Floor Philadelphia PA 19103 990 2024-07-01 251623598 Community Nurses Inc COMM 8008419397 757 JOHNSONBURG ROAD 200 ST MARYS PA 15857 CHERYL MITCHELL SERVICE LINE DIRECTOR 2026-05-18 true true PHILLIP E GROFF P01247783 2672567000 2026-05-18 2024 2025-03-06 01:10:19Z PENN HIGHLANDS COMMUNITY NURSES INC CHERYL MITCHELL 757 JOHNSONBURG ROAD 200 ST MARYS PA 15857 0 false X WWW.COMMUNITYNURSES.ORG X 1990 PA TO PROVIDE MANAGEMENT OVERSIGHT OF AFFILIATES THAT PROVIDE HOME HEALTH CARE, HOSPICE, HOME SUPPORT, AND ADULT DAY SERVICES TO PATIENTS OF ALL AGES. 9 6 0 6 0 8098 609206 69481 47569 5573 470 -4854401 56137 -4170141 0 0 326741 213102 0 0 77825 -32739 404566 180363 -348429 -4350504 23108279 27677188 17017177 26090882 6091102 1586306 TO PROVIDE GENERAL MANAGEMENT AND ADMINISTRATIVE SERVICES FOR SUBSIDIARY AFFILIATES, WHICH ARE EXEMPT, COMMUNITY-BASED HOME HEALTH CARE ORGANIZATIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION false false 156917 71535 COMMUNITY NURSES, INC. PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES FOR EXEMPT, COMMUNITY-BASED HOME HEALTH CARE SUBSIDIARY ORGANIZATIONS. COMMUNITY NURSES HOME HEALTH & HOSPICE IS A NON-PROFIT, MEDICARE CERTIFIED, STATE LICENSED, HOME HEALTH AND HOSPICE AGENCY. COMMUNITY NURSES HOME SUPPORT SERVICES IS A NON-PROFIT, STATE LICENSED, HOME CARE, HOME SUPPORT SERVICES, AND ADULT DAY SERVICES PROVIDER. SERVICES ARE PROVIDED FOR PATIENTS OF ALL AGES, FROM INFANTS TO THE ELDERLY, SERVING ALL OF ELK, CAMERON AND MCKEAN COUNTIES AND PARTS OF CLEARFIELD, JEFFERSON AND POTTER COUNTIES IN PENNSYLVANIA. A DEDICATED STAFF AND AN OUTSTANDING COMMITMENT TO QUALITY CARE HAVE MADE COMMUNITY NURSES, INC. AND SUBSIDIARIES A WELL-RESPECTED LEADER IN HOME HEALTH CARE IN NORTHWESTERN PA. 156917 true true false false false false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 9 6 false false false false true true true true false false false false true true true true true true false false false false PA X CHERYL MITCHELL 8008419397 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 Cheryl Mitchell Service Line Director 1.0 42.0 X X 193227 0 32965 Elizabeth Fitch Secretary/Treasurer 0.8 2.3 X X 0 0 0 Jerry Caribardi Vice-Chairman 0.5 1.5 X X 0 0 0 Mark Jacob Chairman 0.5 1.5 X X 0 0 0 Gennaro Aiello Board Member 0.8 2.3 X 0 0 0 JEFF M KOTULA Board Member 0.8 11.3 X 0 0 0 Julianne Peer Board Member/Pres PHB & PHE (Start 1/23/25) 1.0 47.0 X 0 294819 35813 June Sorg Board Member 0.8 2.3 X 0 0 0 Mark Norman Board Member/ COO PHH 1.0 49.0 X 0 622225 92991 Michael Armanini Director 0.5 1.5 X 0 0 0 193227 917044 161769 1 false true false NETSMART TECHNOLOGIES INC 11100 NALL AVENUE OVERLAND PARK KS 66211 EMR program for home health 355438 1 609206 609206 NET PATIENT SERVICE REVENUE 900099 69481 69481 0 0 0 0 69481 5573 5573 0 0 0 0 other income 900099 2054 2054 LOSS ON SALE OF AFFILIATE -4856455 -4856455 0 0 0 0 -4854401 -4170141 71535 0 -4850882 X 149171 129779 19392 60000 52200 7800 3931 3420 511 35765 31116 4649 0 11324 9852 1472 44305 38545 5760 72 63 9 42029 36565 5464 OTHER EXPENSES 5941 5169 772 LICENSES, DUES, SUBSCRIPTION 4387 3817 570 PENN HIGHLANDS ASSESSMENT -176562 -153609 -22953 0 0 0 0 180363 156917 23446 0 377165 335306 35844 64440 2700 785271 0 0 301576 80350 1945629 1329583 620161 616046 30000 732786 786674 4856455 16181592 24979101 23108279 27677188 203682 214977 151 0 16813495 25875754 17017177 26090882 X 5344528 231874 746574 1354432 6091102 1586306 23108279 27677188 X -4350504 -154292 X false true true true true X X 3 COMMUNITY NURSES HOME HEALTH & HOSPICE INC 250996070 9 false 0 0 COMMUNITY NURSES HOME SUPPORT SERVICES INC 251623601 9 false 0 0 HELPMATES INC 251555968 9 false 0 0 3 0 0 false false false false false false false false false false false false false false false true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name WHILE NOT SPECIFICALLY LISTED BY NAME IN THE GOVERNING DOCUMENTS, THE THREE SUPPORTED ENTITIES REPORTED ON SCHEDULE A, PART I, LINE 12(G) HAVE A HISTORIC AND CONTINUING RELATIONSHIP WITH THEIR SUPPORTING ORGANIZATION, COMMUNITY NURSES, INC. ("CNI"). THE RELATIONSHIP HAS LASTED SINCE THE START OF CNI IN 1990. CNI HOLDS CERTAIN RESERVED POWERS OVER THESE ORGANIZATIONS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE dOCUMENTS. THE BOARD OF THESE CORPORATIONS ARE COMPRISED OF THE DIRECTORS SERVING ON THE BOARD OF CNI, INCLUDING ANY EX- OFFICIO DIRECTORS. SUCH DIRECTORS SHALL ASSUME OFFICE IN ACCORDANCE WITH THE PROCEDURES OF THE BYLAWS OF CNI. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 732786 62326 400 8038 786674 660213 79647 200 6874 732786 611957 55478 6312 910 660213 699983 -79816 8210 611957 567414 145024 12455 699983 0.0 1.0 0.0 false false 48644 48644 643090 123326 519764 1253895 1206257 47638 616046 DUE FROM AFFILIATES 2164590 OTHER RECEIVABLES 22814511 24979101 Federal Income Taxes DUE TO AFFILIATES 25875754 25875754 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUND USE: THE ENDOWMENT HAS BEEN ESTABLISHED TO ASSURE A PERMANENT BASE OF SUPPORT FOR AND GUARANTEE THE CONTINUING AVAILABILITY OF CHARITABLE, IN-HOME PROFESSIONAL AND SUPPORT SERVICES PROVIDED BY THE AGENCY FOR THE BENEFIT OF ALL CITIZENS IN THE ELK, CAMERON, AND MCKEAN SERVICES AREAS OF NORTHWESTERN PA. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote COMMUNITY NURSES, INC. is included in Penn Highlands Healthcare's consolidated audited financial statements. The following narrative is the footnote from the consolidated audited financial statements: The System and its subsidiaries have generally been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. The System consolidates certain entities, which are organized as corporations and subject to federal and state income taxes on related income. Other consolidated affiliates have elected to be taxed as a partnership under provisions of the Internal Revenue Code and a similar section of the state income tax law. Therefore, taxable income or loss is reported to the individual members for inclusion in their respective tax returns. To the extent that the operations of the partnership entities are related to the System's tax-exempt purpose, its income will be exempt from income taxes. The System and its subsidiaries account for uncertain tax positions using a two-step approach for recognizing and measuring tax benefits taken, or expected to be taken, in an unrelated business activity tax return, and disclosures regarding uncertainties in tax positions. The System's for-profit corporations recognize deferred tax assets and liabilities for the future tax impact of temporary differences between amounts recorded in the consolidated financial statements and their respective tax bases, and the future benefit of utilizing available net operating losses. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Income taxes of the System's tax-exempt, for-profit and partnership entities are recorded in accrued expenses on the consolidated balance sheet. false true false false false false false false false Cheryl Mitchell Service Line Director 181871 0 10261 0 1095 0 7580 0 25385 0 226192 0 0 0 Julianne Peer Board Member/Pres PHB & PHE (Start 1/23/25) 0 273760 0 17397 0 3662 0 13260 0 22553 0 330632 0 0 Mark Norman Board Member/ COO PHH 0 573859 0 46848 0 1518 0 66469 0 26522 0 715216 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CEO COMPENSATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan MARK NORMAN PARTICIPATES IN A 457(F) PLAN CONTAINING EXCESS EMPLOYER CONTRIBUTIONS OVER THE 457(F) LIMIT. DURING CALENDAR YEAR 2024, THERE WERE NO INDIVIDUAL CONTRIBUTIONS TO THE PLAN AND NO DISTRIBUTIONS FROM THE PLAN. EMPLOYER CONTRIBUTIONS INTO THE PLAN AMOUNT TO $32,427. Form 990, Part III, Line 1 THE STAFF OF COMMUNITY NURSES, INC. OVERSEES THE OPERATIONS OF THE HOME HEALTH LICENSED, MEDICARE CERTIFIED ORGANIZATION, COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC., WHICH PROVIDES SKILLED NURSING, THERAPY, NUTRITIONISTS, SOCIAL WORK, HOME HEALTH AIDE, AND HOSPICE SERVICES TO THOSE IN NEED OF HEALTH SERVICES IN ORDER TO REMAIN IN THE COMFORT OF THEIR HOMES. NURSES SPECIALLY TRAINED IN IV, WOUND, AND HOSPICE, ALONG WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS UTILIZE THE LATEST TECHNOLOGY IN TELEHEALTH, INR, WOUND VACS, AND SONOGRAM TO PROVIDE FOR PATIENTS OF ALL AGES. AFTER DISCHARGE, CONTACT IS MAINTAINED WITH THE PATIENT THROUGH POST-DISCHARGE PHONE CALLS AND OUR SENIOR OUTREACH PROGRAM. OUR HOSPICE STAFF PROVIDES FOR END-OF-LIFE CARE WHETHER THE PATIENT DECIDES TO REMAIN IN THE HOME, HOSPITAL, OR NURSING HOME SETTING. SUPPORT AND BEREAVEMENT SERVICES ARE ALSO PROVIDED FOR THE FAMILY, ALONG WITH GROUP BEREAVEMENT EVENTS, SUCH AS THE BUTTERFLY RELEASE MEMORIAL SERVICE AND CAMP FLUTTERBY, A TWO-DAY GRIEF CAMP FOR CHILDREN. THESE SERVICES ARE PROVIDED BY DEDICATED STAFF TWENTY-FOUR HOURS PER DAY, AND NO ONE IS TURNED AWAY BECAUSE OF INABILITY TO PAY. THE STAFF OF COMMUNITY NURSES, INC. ALSO PROVIDES MANAGERIAL OVERSIGHT FOR THE HOME HEALTH AND HOME CARE LICENSED, PRIVATE DUTY AGENCY, COMMUNITY NURSES HOME SUPPORT SERVICES, INC. THEY PROVIDE FOR LIMITED HOME HEALTH SERVICES, SUCH AS LAB DRAWS AND MEDICATION MANAGEMENT, FOR THOSE INDIVIDUALS FINDING IT DIFFICULT TO TRAVEL. THEY PROVIDE FOR HOME CARE SERVICES SUCH AS PERSONAL CARE/BATHING, MEAL PREPARATION, HOUSEKEEPING, AND MEDICATION REMINDERS TO ALLOW PATIENTS TO REMAIN COMFORTABLY IN THEIR HOMES. FOR THOSE THAT DESIRE SOCIALIZATION, OUR ADULT DAY SERVICES PROVIDE FOR SUPERVISED CARE AND ACTIVITIES TO ENGAGE THE CLIENTS BOTH MENTALLY AND EMOTIONALLY. COMMUNITY NURSES, INC. AND ITS SUBSIDIARIES BELIEVE IN PROVIDING SERVICES ALONG THE CONTINUUM OF CARE TO ALLOW INDIVIDUALS OF EVERY AGE TO REMAIN IN THE COMFORT OF THEIR HOMES FOR AS LONG AS THEY SO CHOOSE. Form 990, Part VI, Line 15 QUESTION 15A AND 15B ARE ANSWERED "NO" IN ACCORDANCE WITH THE FORM INSTRUCTIONS AS THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE OFFICERS OR KEY EMPLOYEES. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION IS HANDLED BY THE PARENT ORGANIZATION, PENN HIGHLANDS HEALTHCARE, INC. THE PENN HIGHLANDS HEALTHCARE (PHH) EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE & COMPANY TO OBTAIN COMPARABLE DATA TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING EXECUTIVE COMPENSATION. THE PENN HIGHLANDS HEALTHCARE BOARD OF DIRECTORS IS ACUTELY AWARE OF THE HEIGHTENED PUBLIC SCRUTINY OF EXECUTIVE COMPENSATION AND THE NEED TO CONSIDER REGULATORY COMPLIANCE WHEN SETTING EXECUTIVE PAY. COMPENSATION REVIEWS ARE DONE ON A CONTINUOUS BASIS. COMPENSATION DETERMINATIONS OF PHH EMPLOYED OFFICERS ARE MADE BY THE PHH COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN EMPLOYED OFFICERS ARE ALSO REVIEWED AND APROVED BY THE PHH COMPENSATION COMMITTEE AND SHARED WITH THE COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEE OF PHH STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE PHH EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE PHH BOARD ON A CONTINUOUS BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARD OF PHH, AS APPLICABLE. Form 990, Part VI, Line 6 Classes of members or stockholders PENN HIGHLANDS HEALTHCARE (PHH) AND PENN HIGHLANDS ELK (PH ELK) HOLD CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, HIGHLANDS HOSPITAL SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE PHH GOVERNANCE/NOMINATING COMMITTEE) A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EX-OFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY HIGHLANDS HOSPITAL IN CONSULTATION WITH THIS ORGANIZATION'S BOARD. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN THIS ORGANIZATION'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT OF INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF HIGHLAND HOSPITAL SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT THIS ORGANIZATION DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF HIGHLANDS HOSPITAL, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SEE LINE 6 NARRATIVE ABOVE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SEE LINE 6 NARRATIVE ABOVE. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THE GOVERNING BODY HAS NOT AUTHORIZED ANY COMMITTEES TO ACT ON ITS BEHALF. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE SYSTEM CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND SYSTEM CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PROVIDED FOR REVIEW TO THE FULL BOARD. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees OUTSIDE SERVICES - Total Expense: 35765, Program Service Expense: 31116, Management and General Expenses: 4649, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances intercompany cash transfers - -208180; OTHER CHANGES IN NET ASSETS - 53888; Total - -154292; ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 250585280 HEALTH CARE PA 501(c)(3) 3 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(c)(3) Type I PHH true ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 heALTH CARE PA 501(c)(3) 3 PHH true COMMUNITY NURSES HOME HEALTH AND HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 hEALTH CARE PA 501(c)(3) 10 CNI true COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623601 hEALTH CARE PA 501(c)(3) 10 CNI true PENN HIGHLANDS HEALTHCARE INC PO BOX 447 DUBOIS PA 15801 320345810 hEALTH CARE PA 501(c)(3) 7 NA false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL ROAD Dubois PA 15801 251490707 HOSPITAL PA 501(c)(3) 3 PHH true BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(c)(3) 3 DRMC true DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVE Dubois PA 15801 256332829 DRMC EMPL BEN PA 501(c)(9) PHH true JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 SNF PA 501(c)(3) 10 BROOKVILLE true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(c)(3) 3 PHH true JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(c)(3) Type I PHH true PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(c)(3) 3 PHH true HELPMATES INC 757 JOHNSONBURG RD ST MARYS PA 15857 251555968 HEALTH CARE PA 501(c)(3) 10 CNI true TYRONE REGIONAL HEALTH NETWORK FOUNDATION 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(c)(3) Type I PH TYRONE true HIGHLANDS HOSPITAL 401 E MURPHY AVENUE CONNELLSVILLE PA 15425 251494705 hoSPITAL PA 501(c)(3) 3 PHH true HIGHLANDS HOSPITAL FOUNDATION 401 E MURPHY AVENUE CONNELLSVILLE PA 15425 843713870 suPPORT hOSPital PA 501(c)(3) Type I PHH true WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 hEALTH CARE PA 501(c)(3) 10 WRC SR SRVCS true WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 hEALTH CARE PA 501(c)(3) 10 DRMC true WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 hEALTH CARE PA 501(c)(3) 10 WRC SR SRVCS true WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 hEALTH CARE PA 501(c)(3) 10 WRC SR SRVCS true MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(c)(3) Type II PHH true MONONGAHELA VALLEY HOSPITAL INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 237218917 HOSPITAL PA 501(c)(3) 3 PHH true CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICES PA 501(c)(3) 10 PHH true DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT PA 501(c)(3) Type II DRMC true JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA PHH C Corporation false PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15802 874757426 STAFFING SERVICES PA PHH C Corporation false PENN HIGHLANDS LIFE'S JOURNEY 100 HOSPITAL AVE DUBOIS PA 15801 824943778 MEDICAL SERVICES PA DRMC C Corporation false DUBOIS REGIONAL MEDICAL GROUP PO BOX 447 DUBOIS PA 15801 251856569 MEDICAL SERVICES PA DRMC C Corporation false false false false false false false false false false false true true true true true true true true true DUBOIS REGIONAL MEDICAL CENTER S 194907 FMV PENN HIGHLANDS HELPMATES S 138473 FMV JC BLAIR MEMORIAL HOSPITAL S 81378 FMV